Le SIDA au Ghana (serveur d'exploration)

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HIV-1 proteases from drug-naive West African patients are differentially less susceptible to protease inhibitors.

Identifieur interne : 000481 ( PubMed/Curation ); précédent : 000480; suivant : 000482

HIV-1 proteases from drug-naive West African patients are differentially less susceptible to protease inhibitors.

Auteurs : Masanobu Kinomoto [Japon] ; Regina Appiah-Opong ; J A M. Brandful ; Masaru Yokoyama ; Nicholas Nii-Trebi ; Evelyn Ugly-Kwame ; Hironori Sato ; David Ofori-Adjei ; Takeshi Kurata ; Françoise Barre-Sinoussi ; Tetsutaro Sata ; Kenzo Tokunaga

Source :

RBID : pubmed:15983923

Descripteurs français

English descriptors

Abstract

Now that highly active antiretroviral therapy (HAART) is being initiated on a large scale in West Africa, it remains controversial whether protease inhibitors (PIs), originally designed and tested against human immunodeficiency virus type 1 (HIV-1) subtype B, are equally effective against the non-B subtypes that are prevalent in West African countries. In this study, we investigated whether Ghanaian HIV-1 isolates, as representatives of West African isolates, are susceptible to PIs.

DOI: 10.1086/431197
PubMed: 15983923

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pubmed:15983923

Le document en format XML

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<term>Amino Acid Sequence</term>
<term>Drug Resistance, Multiple, Viral</term>
<term>Ghana (epidemiology)</term>
<term>HIV Infections (virology)</term>
<term>HIV Protease (chemistry)</term>
<term>HIV Protease (metabolism)</term>
<term>HIV Protease Inhibitors (pharmacology)</term>
<term>HIV-1 (enzymology)</term>
<term>HIV-1 (genetics)</term>
<term>Humans</term>
<term>Molecular Sequence Data</term>
<term>Phylogeny</term>
<term>Protein Conformation</term>
<term>Sequence Alignment</term>
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<term>Adulte</term>
<term>Alignement de séquences</term>
<term>Conformation des protéines</term>
<term>Données de séquences moléculaires</term>
<term>Ghana (épidémiologie)</term>
<term>Humains</term>
<term>Infections à VIH (virologie)</term>
<term>Inhibiteurs de protéase du VIH (pharmacologie)</term>
<term>Multirésistance virale aux médicaments</term>
<term>Phylogénie</term>
<term>Protéase du VIH ()</term>
<term>Protéase du VIH (métabolisme)</term>
<term>Séquence d'acides aminés</term>
<term>VIH-1 (Virus de l'Immunodéficience Humaine de type 1) (enzymologie)</term>
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<term>HIV Protease</term>
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<term>Ghana</term>
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<keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en">
<term>HIV Protease</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="pharmacology" xml:lang="en">
<term>HIV Protease Inhibitors</term>
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<term>VIH-1 (Virus de l'Immunodéficience Humaine de type 1)</term>
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<keywords scheme="MESH" qualifier="enzymology" xml:lang="en">
<term>HIV-1</term>
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<term>HIV-1</term>
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<term>VIH-1 (Virus de l'Immunodéficience Humaine de type 1)</term>
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<keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr">
<term>Protéase du VIH</term>
</keywords>
<keywords scheme="MESH" qualifier="pharmacologie" xml:lang="fr">
<term>Inhibiteurs de protéase du VIH</term>
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<keywords scheme="MESH" qualifier="virologie" xml:lang="fr">
<term>Infections à VIH</term>
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<keywords scheme="MESH" qualifier="virology" xml:lang="en">
<term>HIV Infections</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Ghana</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Amino Acid Sequence</term>
<term>Drug Resistance, Multiple, Viral</term>
<term>Humans</term>
<term>Molecular Sequence Data</term>
<term>Phylogeny</term>
<term>Protein Conformation</term>
<term>Sequence Alignment</term>
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<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Alignement de séquences</term>
<term>Conformation des protéines</term>
<term>Données de séquences moléculaires</term>
<term>Humains</term>
<term>Multirésistance virale aux médicaments</term>
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<term>Protéase du VIH</term>
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<div type="abstract" xml:lang="en">Now that highly active antiretroviral therapy (HAART) is being initiated on a large scale in West Africa, it remains controversial whether protease inhibitors (PIs), originally designed and tested against human immunodeficiency virus type 1 (HIV-1) subtype B, are equally effective against the non-B subtypes that are prevalent in West African countries. In this study, we investigated whether Ghanaian HIV-1 isolates, as representatives of West African isolates, are susceptible to PIs.</div>
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<Month>06</Month>
<Day>28</Day>
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<Year>2006</Year>
<Month>09</Month>
<Day>05</Day>
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<Title>Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</Title>
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<ArticleTitle>HIV-1 proteases from drug-naive West African patients are differentially less susceptible to protease inhibitors.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Now that highly active antiretroviral therapy (HAART) is being initiated on a large scale in West Africa, it remains controversial whether protease inhibitors (PIs), originally designed and tested against human immunodeficiency virus type 1 (HIV-1) subtype B, are equally effective against the non-B subtypes that are prevalent in West African countries. In this study, we investigated whether Ghanaian HIV-1 isolates, as representatives of West African isolates, are susceptible to PIs.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We first generated an HIV-1 protease cassette vector proviral DNA carrying a luciferase gene, which allows patient-derived HIV-1 proteases to be inserted and to be subjected to both genotypic and phenotypic assays. HIV-1 protease genes derived from 39 treatment-naive Ghanaian patients were used in this experiment as representatives of West African strains. The cloned patient-derived HIV-1 protease genes were first sequenced and then genetically compared. Phenotypic analysis was performed with Ghanaian HIV-1 protease-chimeric viruses in the presence of 6 different PIs. Structural models of HIV-1 protease homodimers were constructed by the molecular modeling software.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Genetic analysis of cloned patient-derived HIV-1 protease genes indicated that most of the Ghanaian HIV-1 proteases are placed as subtype CRF02_AG strains, which are phylogenetically distant from subtype B strains, and that Ghanaian HIV-1 proteases do not harbor known major mutations influencing drug resistance but commonly carry 2-3 minor mutations. Phenotypic analysis performed with HIV-1 protease-recombinant viruses in the presence of 6 different PIs revealed that Ghanaian HIV-1 proteases are differentially less susceptible to the PIs. In support of this finding of differential susceptibility, structural analysis showed a significant distortion of nelfinavir, but not of amprenavir, in the Ghanaian protease pocket, suggesting nelfinavir might be less insertable into the Ghanaian protease than into the protease of subtype B.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">These findings provide implications for the combination of PIs during the introduction of HAART into West Africa.</AbstractText>
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<NameOfSubstance UI="D017320">HIV Protease Inhibitors</NameOfSubstance>
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<RegistryNumber>EC 3.4.23.-</RegistryNumber>
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<RefSource>Clin Infect Dis. 2005 Jul 15;41(2):252-4</RefSource>
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